Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus

ATAMANALP S. S., ATAMANALP R. S.

PAKISTAN JOURNAL OF MEDICAL SCIENCES, cilt.33, sa.6, ss.1528-1530, 2017 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 6
  • Basım Tarihi: 2017
  • Doi Numarası: 10.12669/pjms.336.13921
  • Dergi Adı: PAKISTAN JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1528-1530
  • Atatürk Üniversitesi Adresli: Evet

Özet

Sigmoid volvulus (SV) is an unusual type of colonic obstruction, in which the sigmoid colon wraps around itself. As a rule, SV is decompressed via endoscopy in uncomplicated cases, while surgery is required in complicated cases. However, the recurrence rate following endoscopic detorsion is relatively high, with a relatively high mortality rate. Consequently, as a prophylactic procedure to prevent recurrence, elective surgery is suggested in some patients. Nevertheless, the selection criteria are open to questioning. In this report, we evaluate those criteria based on the broad experience of our clinic, and suggest elective surgery in patients in ASA classes I-III.